• Title/Summary/Keyword: birth

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Postnatal weight gain in the first two weeks as a predicting factor of severe retinopathy of prematurity requiring treatment

  • Kim, Jongmoon;Jin, Jang Yong;Kim, Sung Shin
    • Clinical and Experimental Pediatrics
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    • v.58 no.2
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    • pp.52-59
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    • 2015
  • Purpose: This study aimed to investigate the relative weight gain at 2-week intervals up to 6 weeks after birth to predict retinopathy of prematurity (ROP) requiring treatment among very low birth weight infants. Methods: A total of 211 preterm infants with birth weights <1,500 g and gestational age <32 weeks were retrospectively reviewed. The main outcome was the development of ROP requiring treatment. Body weight measurements were recorded daily. Relative weight gains (g/kg/day) were calculated at the second, fourth, and sixth week after birth. Results: Of the 211 infants, 89 developed ROP, of which 41 spontaneously regressed and 48 with early treatment of ROP type I required laser treatment. The relative weight gain at 2, 4, and 6 weeks postnatal age was significantly lower in infants with ROP requiring treatment than in infants without ROP or those with spontaneous regression (P<0.001, P=0.005, and P=0.004, respectively). On logistic regression, poor relative weight gain in the first 2 weeks was found to be related to ROP requiring treatment (adjusted odds ratio, 0.809; 95% confidence interval, 0.695-0.941; P=0.006). Relative weight gain at 2 weeks postnatal age was significantly lower in infants with ROP requiring treatment compared to that in ROP requiring no treatment (P=0.012). Conclusion: Poor postnatal weight gain in the first 2 weeks of life is an important and independent risk factor for ROP requiring treatment. Postnatal weight gain can predict the development of severe ROP requiring treatment.

Visualization of unstructured personal narratives of perterm birth using text network analysis (텍스트 네트워크 분석을 이용한 조산 경험 이야기의 시각화)

  • Kim, Jeung-Im
    • Women's Health Nursing
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    • v.26 no.3
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    • pp.205-212
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    • 2020
  • Purpose: This study aimed to identify the components of preterm birth (PTB) through women's personal narratives and to visualize clinical symptom expressions (CSEs). Methods: The participants were 11 women who gave birth before 37 weeks of gestational age. Personal narratives were collected by interactive unstructured storytelling via individual interviews, from August 8 to December 4, 2019 after receiving approval of the Institutional Review Board. The textual data were converted to PDF and analyzed using the MAXQDA program (VERBI Software). Results: The participants' mean age was 34.6 (±2.98) years, and five participants had a spontaneous vaginal birth. The following nine components of PTB were identified: obstetric condition, emotional condition, physical condition, medical condition, hospital environment, life-related stress, pregnancy-related stress, spousal support, and informational support. The top three codes were preterm labor, personal characteristics, and premature rupture of membrane, and the codes found for more than half of the participants were short cervix, fear of PTB, concern about fetal well-being, sleep difficulty, insufficient spousal and informational support, and physical difficulties. The top six CSEs were stress, hydramnios, false labor, concern about fetal wellbeing, true labor pain, and uterine contraction. "Stress" was ranked first in terms of frequency and "uterine contraction" had individual attributes. Conclusion: The text network analysis of narratives from women who gave birth preterm yielded nine PTB components and six CSEs. These nine components should be included for developing a reliable and valid scale for PTB risk and stress. The CSEs can be applied for assessing preterm labor, as well as considered as strategies for students in women's health nursing practicum.

Age-Period-Cohort Analysis of Liver Cancer Mortality in Korea

  • Park, Jihwan;Jee, Yon Ho
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8589-8594
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    • 2016
  • Background: Liver cancer is one of the most common causes of death in the world. In Korea, hepatitis B virus (HBV) is a major risk factor for liver cancer but infection rates have been declining since the implementation of the national vaccination program. In this study, we examined the secular trends in liver cancer mortality to distinguish the effects of age, time period, and birth cohort. Materials and Methods: Data for the annual number of liver cancer deaths in Korean adults (30 years and older) were obtained from the Korean Statistical Information Service for the period from 1984-2013. Joinpoint regression analysis was used to study the shapes of and to detect the changes in mortality trends. Also, an age-period-cohort model was designed to study the effect of each age, period, and birth cohort on liver cancer mortality. Results: For both men and women, the age-standardized mortality rate for liver cancer increased from 1984 to 1993 and decreased thereafter. The highest liver cancer mortality rate has shifted to an older age group in recent years. Within the same birth cohort group, the mortality rate of older age groups has been higher than in the younger age groups. Age-period-cohort analysis showed an association with a high mortality rate in the older age group and in recent years, whereas a decreasing mortality rate were observed in the younger birth cohort. Conclusions: This study confirmed a decreasing trend in liver cancer mortality among Korean men and women after 1993. The trends in mortality rate may be mainly attributed to cohort effects.

Periodontitis among poor rural Indian mothers increases the risk of low birth weight babies: a hospital-based case control study

  • Jacob, Pulikottil Shaju;Nath, Sonia
    • Journal of Periodontal and Implant Science
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    • v.44 no.2
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    • pp.85-93
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    • 2014
  • Purpose: Low birth weight (LBW) is one of the major public health problems in India. Hence, there is a need to identify risk factors that, when modified, will reduce the burden of unhealthy children on the healthcare system. The objective of this study was to determine whether periodontitis among mothers in the rural population of India is a risk factor for LBW babies. Methods: A hospital-based case control study was conducted among 340 postpartum mothers. The cases consisted of 170 women who had given birth to babies weighing <2,500 g, while the control group consisted of 170 women who had given birth to babies weighing ${\geq}2,500g$. Details of the mothers were taken from the hospital records and through a personal interview, and a full-mouth periodontal examination was performed postpartum, which included probing depth, clinical attachment level, and bleeding on probing on six sites per tooth. Results: LBW cases had a significantly worse periodontal status than the controls, having an odds ratio (OR) of 2.94 (P=0.01). The multivariate logistic regression model demonstrated that periodontal disease is a significant independent risk factor with an adjusted odds ratio (aOR) of 2.85 for the LBW group (95% confidence interval [CI], 1.62-5.5). Other factors showing significant associations with LBW were pre-eclampsia (aOR, 4.49; 95% CI, 1.4-14.7), preterm labor (aOR, 5.5; 95% CI, 3.2-9.9), and vaginal type of delivery (aOR, 2.74; 95% CI, 1.4-5.2). Conclusions: Periodontitis represents a strong, independent, and clinically significant risk factor for LBW. Periodontal therapy should form a part of the antenatal preventive care among rural women in India.

Anorectal Manometry in Normal Neonates (신생아의 항문직장내압검사)

  • Seo, Jeong-Meen;Choi, Yun-Mee;Lee, Eun-Hee;Jun, Yong-Hoon;Ahn, Seung-Ik;Hong, Kee-Chun;Shin, Seok-Hwan
    • Advances in pediatric surgery
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    • v.5 no.2
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    • pp.103-110
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    • 1999
  • To estimate the normal anal canal pressure in neonates, anal manometry was performed in 46 normal babies less than 6 days of age. Twenty-eight of the subjects were boys and 18 girls. All the subjects passed meconium within 24 hours after birth. Birth weights were above 2.4 kg. There were no sexual differences in birth weight, birth height, gestational age, postnatal age, or Apgar score (p<0.05). The mean manometry values were; anal sphincter length $18.6{\pm}3.9$ mm, high pressure zone (HPZ) $9.2{\pm}3.6$ mm, vector volume $2027.2{\pm}2440.7$ mmHg2cm, maximum pressure $42.3{\pm}17.4$ mmHg, and position of the maximum pressure $6.0{\pm}22.4$ mm. Only the HPZ of boys was longer than those of girls (p=0.005). In squeezing state, HPZ and the position of maximun pressure were not changed from resting state. HPZ, vector volume, and maximum pressure in boys were higher than those in girls. As the birth weight increased, the anal sphincter length (p=0.001) and the HPZ increased (p=0.047). The resting pressures of the anal canal were evaluated in three portions; /23 upper portion, $12.8{\pm}8.6$ mmHg, middle portion, $20.3{\pm}10.8$ mmHg, and lower portion, $26.1{\pm}12.9$ mmHg. These normal values may serve as guidelines for the evaluation, diagnosis and treatment of neonatal anal diseases.

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Association between Environmental Factors in Home and Behavioral Problems in Children with Allergic Diseases: Based on 2015 Panel Study of Korean Children Survey (알레르기질환 아동의 가정 내 환경요인과 문제행동의 관계: 2015년 한국아동패널 자료를 바탕으로)

  • Son, Miseon;Ji, Eunsun
    • Research in Community and Public Health Nursing
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    • v.30 no.4
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    • pp.426-436
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    • 2019
  • Purpose: This study aimed to investigate the association between indoor environmental exposures and behavioral problems in children with allergic diseases. Methods: We used data from 2015 Panel Study of Korean Children (PSKC). The subjects of this study included 825 children aged 7 years with asthma, allergic rhinitis, or atopic dermatitis. The data was analyzed using hierarchical multiple regression. Results: Factors influencing behavioral problems in children with allergic diseases were passive smoking (β=.15, p<.001), painting from 1year after birth until 1 year ago (β=.13, p<.001), using of linoleum as floor materials (β=.09, p<.001), change of wallpaper From 2 years before pregnancy until 1year after birth (β=.08, p<.001), change of wallpaper from 1year after birth until 1 year ago (β=.07, p<.001), keeping hot food or water in plastic container (β=.06, p<.001), remodeling from 1 year after birth until 1year ago (β=.04, p<.001), using of plastic container (β=.03, p<.001), and change of floor materials from 1 year after birth until 1year ago (β=.01, p=.006) which explained about 10% of behavioral problems. Conclusion: This study showed that indoor environmental exposures were associated with behavioral problems in children with allergic diseases. Based on the findings of this study, programs focusing on controlling of indoor environmental exposures may help to prevent and reduce behavioral problems in children with allergic diseases.

An Analysis of the Effect on Childbirth Will of Married Women (기혼여성의 출산의지에 영향을 미치는 요인 연구)

  • Lee, So-Young
    • Journal of Family Resource Management and Policy Review
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    • v.12 no.2
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    • pp.15-30
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    • 2008
  • According to the research taken by the National Statistical Office, the fertility rate of a Korean fertile female is 1.17. This figure is the lowest in the world, and the reduction in the fertility rate over the last 30 years was the biggest in the world. It can be seen as a warning alarm about the effects of a low birth rate and a silver society. Assuming that there are several factors involved in this phenomenon, this study inquired into the attitude towards children, attitude towards nourishing children, attitude towards sex roles and the harmony between the jobs and families of married females, and examined the factors that influence the willingness to give birth. Final 581 copies of the survey questionnaire were used for analysis and the collected data were analysed by SPSS, Pearson's correlation analysis, t-test, ANOVA, and Duncan's Multiple Range Test. Three main conclusions were reached: Firstly, the value variables, such as sex-role attitudes and the preference for work or home, affect the willingness to give birth. Therefore, it can be said that one's values have a significant effect on these variables and the willingness to give birth. Secondly, both working morns and housewives have a strong tendency to give a birth if they are supported on child rearing. Finally, the employment of the married women itself can be a variable that can affect childbirth. In other words, the working hours affect employed married women so as sex-role attitudes, the preference between work and home, ideal number of children, and the income to housewives. Also, even in whole married women, the employment itself can be a major factor of the willingness to have a baby. Therefore, unemployed married women have more of a tendency to have children than employed married women.

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STUDIES ON MILK PRODUCTION AND GROWTH OF FRIESIAN × BUNAJI CROSSES: II. GROWTH TO YEARLING AGE

  • Malau-Aduli, A.E.O.;Abubakar, B.Y.;Dim, N.I.
    • Asian-Australasian Journal of Animal Sciences
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    • v.9 no.5
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    • pp.509-513
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    • 1996
  • The data analysed consisted of body weight records at birth, and at 3, 6, 9 and 12 months of age of 549 half Friesian $\times$ Bunaji crossbred heifers collected over a twenty-five year period (1965-1989). Least squares $means{\pm}s.e$. of body weights at birth, 3, 6, 9 and 12 months of age were $26.7{\pm}1.3$, $72.4{\pm}4.5$, $112.9{\pm}6.9$, $147.2{\pm}9.2$ and $182.1{\pm}11.1kg$, respectively. Year of birth was highly significant (p < 0.01) in affecting body weights at all ages, while the effect of month of birth was not. Seasonal influence on birth weight and body weights at 3 and 6 months of age was significant (p < 0.05). Phenotypic correlations between body weights at all ages were positive and highly significant (p < 0.01), ranging from 0.30 to 0.79. The results of this study showed that the beneficial effect of crossbreeding Friesian with Bunaji cattle was reflected in the growth performance of the $F_1$ crosses, since they grew faster than the indigenous Bunaji from brith to yearling age. The study also indicated that heifer selection for yearling body weight can be done early on the basis of weights at 3 and 6 months of age.

The relationships among birth season, sunlight exposure during infancy, and allergic disease

  • Hwang, Jung Min;Oh, Se Hyun;Shin, Mee Yong
    • Clinical and Experimental Pediatrics
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    • v.59 no.5
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    • pp.218-225
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    • 2016
  • Purpose: The recent increase in the prevalence of allergic diseases is hypothetically attributed to immune dysregulation in turn caused by a reduction in exposure to sunlight. We explored relationships between birth season, sunlight exposure, exercise duration, and an allergic disease. Methods: We performed a questionnaire-based survey on allergic diseases among elementary school students. Birth time was categorized according to the season (summer and winter). Results: The prevalence of atopic dermatitis (AD) "symptoms ever" was higher in the children born in winter than in those born in summer (adjusted odds ratio [aOR], 1.24; 95% confidence interval [CI], 1.03-1.49; P=0.024). Birth in winter was associated with an increase in the "symptoms in the past 12 months" prevalence of food allergy (FA) (aOR, 1.56; 95% CI, 1.09-2.24; P=0.015). The lifetime prevalence of allergic diseases except FA was higher in the children whose parents considered their sunlight exposure prior to 24 months of ageas inadequate than those who considered their exposure as adequate ("diagnosis ever" asthma: aOR, 1.4; 95% CI, 1.17-1.67; P<0.001; allergic rhinitis [AR]: aOR, 1.4; 95% CI, 1.17-1.67; P<0.001; AD: aOR, 1.26; 95% CI, 1.06-1.51; P=0.01). Neither recent sunlight exposure nor exercise duration was associated with the prevalence of an allergic disease. Conclusion: Birth in winter may be associated with development of AD and FA. Inadequate sunlight exposure before the age of 24 months might possibly increase the risks of development of asthma, AR, and AD.

Brestfeeding Rate and Its Related Factors In Rural area (농촌지역 영유아의 모유수유 관련 요인)

  • Kim, Hyun-Jee;Kim, Keon-Yeop;Hwangbo, Jeong-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1671-1680
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    • 2014
  • The purpose of this research is to observe the rate of breastfeeding and to identify factors related to the breastfeeding in rural area. We conducted a survey targeting 139 mothers whose infants are less than 60 months old in Ulju-gun, Ulsan. SPSS Win 18.0 program was used as the data analysis and a statistical statement by mean, standard deviation, and logistic regression analysis. According to the findings of this study, it indicated that the factors affecting the rate of breastfeeding in a rural region are mothers'job, 1 month breastfeeding after birth and the education of breastfeeding before birth. In this study we need to continuously conduct the breast feeding education by hospitals or clinics before birth, so that breast feeding can be provided well after birth. Also, we need to establish the social system and atmosphere without any disadvantages resulting from maternity leave so that working mothers can provide full breast feeding for six months after birth because the return to work can interfere with the practice of breast feeding.